Lately a lot of media and social networking to discuss the alleged medical malpractice incident . The last case is the case of the death bustling performed cesarean section patients in Manado . Cesarean section is the usual case by gynecologists , performed using general anesthesia or regional anesthesia or a combination of both , which is performed by the anesthetist . Actually, if the anesthesiologist 's role in an operation ? Perhaps the article below can explain or add insight in understanding anesthesia .
Anesthetic techniques can be divided into two major categories, namely general anesthesia or general anesthesia and regional anesthesia or anesthetic half body . General anesthesia that removes the awareness and pain that a patient does not feel the surgery . Regional anesthesia only make a certain body area becomes numb , and the patient remains conscious , for example in the abdominal area down operations . In certain circumstances , sometimes it takes a combination of general and regional anesthesia . In general anesthesia , muscle relaxants can be given , so patients need to receive artificial respiration of the anesthesiologist . An anesthesiologist is usually assisted by a nurse anesthetist assigned to assist the process of anesthesia until the operation is completed .
There are several techniques of general anesthesia whose election depends on the type of surgery , patient age , and condition of the patient . The general anesthetic technique election will be decided by the anesthetist and will be communicated to the patient . Techniques include anesthesia with general anesthesia drugs given through a vein or total intravenous anesthesia ( Tiva ) , and anesthesia using anesthetic gases that make the patient sleeping . Techniques that use gas anesthesia administered through a facemask manner (face mask ) , the laryngeal mask airway ( LMA ) , and intubation with an endotracheal tube or pipe laying ( ET ) is put up into the airways ( larynk ) .
Total intravenous anesthesia
Anesthetic technique is done by giving anesthetic drugs through the veins or intravenous . The drug is injected to make the patient fall asleep and do not feel pain during the surgery . The drug can be administered continuously using a pump syrinx , or discontinuous ( intermittent ) . How this is done in a surgical anesthetic that is relatively short , and do not need perfect relaxation of the muscles of the body, such as the content of curettage surgery , incision lipoma or fatty lumps , mounting casts , and others . Currently Tiva anesthesia can replace with gas anesthesia .
Anesthesia with gas
Anesthetic technique is done by giving anesthetic drugs through continuous gas inhaled anesthetic patients . As a result of inhalation of this gas , making the patient is unconscious and can do surgery . This technique is performed on patients who need to sleep in such a mounting plate operation on a broken collarbone , and pediatric patients . Gas anesthesia can be administered through a facemask and LMA . Surgery in patients with head and neck area , it can be given anesthesia using endotracheal pipe fitting ( ET ) , which require muscle relaxants , such as tonsillectomy , cutting the intestine , and the operating area of the chest cavity .
Selection of general anesthesia techniques whether using gas or Tiva , depends on the condition of the patient , and the availability of equipment . One of the disadvantages of using gas is air pollution , due to anesthetic gases can spread throughout the operating room , it can lead to all personnel in the operating room and participate inhaling anesthetic gas exposure and its long- term side effects that may be caused, such as liver damage . In some modern anesthesia machines , anesthesia gas machines will be sucked out of the engine and discharged into the atmosphere outside the operating room . In the end , no method is 100 percent safe anesthesia . All there is a risk that actions can occur , ranging from allergic itching , until respiratory arrest and cardiac arrest requiring resusisitasi or rescue action . Always communicate with the anesthetist who will perform anesthesia , so that all can understand the benefits and risks that may arise .